ANDOVER AMBULATORY SURGERY CENTER, LLC
NPI 1770147217
Clinic/Center - Ambulatory Surgical in Andover, KS

Active since April 30, 2019CLIA 17D2174487 · Waiver
1124 W 21ST ST STE 100, ANDOVER, KS 67002(316) 440-3200(316) 440-3255 Get Directions Write a Review

NPPES record last updated: September 8, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2020, Apr 30, 2019 (2 updates tracked since 2019).

About Andover Ambulatory Surgery Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDOVER AMBULATORY SURGERY CENTER, LLC (NPI 1770147217) is a healthcare organization registered as an ambulatory surgical in Andover, Kansas and active in the NPI registry since April 2019. The organization holds a CLIA Waiver certificate valid through October 31, 2027 and lists Steven Hadley, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1770147217
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameANDOVER AMBULATORY SURGERY CENTER, LLC
Location Address1124 W 21ST ST STE 100Andover, KS 67002-5500
Mailing Address1124 W 21st StAndover, KS 67002-5500 · (316) 201-6999 · Fax (316) 300-4040
Fax(316) 440-3255
Organization SubpartNo
Authorized OfficialSteven HadleyChief Financial Officer · (316) 440-3200
Enumeration DateApril 30, 2019
Last NPPES UpdateSeptember 8, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2020
NPI 1770147217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1124 W 21ST ST STE 100, Andover, KS 67002

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D2174487

Andover Ambulatory Surgery Center, LLC · Andover, KS
Active · expires Oct 31, 2027
CLIA Number17D2174487
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 1, 2025
Certificate Expiration DateOctober 31, 2027
Laboratory DirectorPatti A. Collins
Laboratory Phone(316) 300-4771
Laboratory LocationAndover Ambulatory Surgery Center, LLC1124 W 21st Street, Suite 100, Andover, KS 67002
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 20

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
224 services129 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
123 services100 patients
Removal of nasal air passage under lining tissue 30140
This procedure, often done to improve breathing or address sinus issues, involves the removal of tissue from the lining of the nasal air passage. It's performed under anesthesia and recovery time varies based on individual health status.
74 services37 patients
Injection of substance into middle or upper spine canal using imaging guidance 62321
This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.
72 services59 patients
Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384
This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.
71 services71 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
53 services52 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
1124 W 21ST ST STE 100
ANDOVER, KS 67002

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andover Ambulatory Surgery Center, LLC's NPI number?

The NPI number for Andover Ambulatory Surgery Center, LLC is 1770147217. It was assigned to this organization in the NPPES registry on April 30, 2019.

Where is Andover Ambulatory Surgery Center, LLC located?

Andover Ambulatory Surgery Center, LLC is located at 1124 W 21st St Ste 100, Andover, KS 67002. The listed phone number is (316) 440-3200.

What is Andover Ambulatory Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Andover Ambulatory Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2174487) is associated with this NPI, valid through October 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Andover Ambulatory Surgery Center, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Andover Ambulatory Surgery Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andover Ambulatory Surgery Center, LLC was last updated on September 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.